Closure versus Non-closure of hernial defect in laparoscopic ventral hernia mesh repair – An observational study
Journal Title: Perspectives In Medical Research - Year 2016, Vol 4, Issue 1
Abstract
Introduction: Ventral hernias are the second most common type of abdominal hernias and account for approximately 10% of all hernias. Recurrence rates after open suture repair have been reported to be as high as 31% to 49%. Laparoscopic ventral hernia repair (LVHR) has been reported to have reduced recurrence rates as compared to open mesh repair, reduced infection rate, shorter recovery time and hospital stay. During LVHR, closure of the hernial defect is a contentious issue. We describe our observations with the closure of hernial defect in LVHR in comparison to non-closure of defects in relation to seroma, pain, ileus and recurrence. Material and Methods:An observational study of closure versus non-closure of hernial defect in laparoscopic ventral hernia mesh repair was conducted in 81 patients from March 2015 to March 2016. Ventral hernia repair with mesh was done without closure of defect in 32 cases whereas in 49 cases closure of defect was done. Results: Seroma, pain, ileus and recurrence incidence are less in closure of defect in comparison to non closure of defect in our study. Conclusion: With increasing experience, different theories and techniques have been described by different surgeons to overcome the intraoperative and postoperative problems. During LVHR, closure of the hernial defect is a contentious issue. Closure of defect in our experience decreases rate of seroma formation. Closure of defect induce more post operative pain, but may be superior with regard to other important surgical outcomes. Duration of follow up is inadequate to conclude about incidence of recurrence in our study.
Authors and Affiliations
Chandrakant R Kesari
Keywords
Related Articles
- EP ID EP299266
- DOI -
- Views 143
- Downloads 0
Early diagnosis of childhood Acute lymphoblastic leukemia
Acute lymphoblastic leukemia (ALL) is characterized by an overproduction of immature white blood cells, called lymphoblasts or leukemic blasts. These cells crowd the bone marrow, preventing it from making normal blood ce...
Study of various histopathological types of malignant lesions of Thyroid
Background : Thyroid gland is unique among the endocrine glands in having a wide spectrum of diseases ranging from functional enlargements, immunologically mediated enlargements to neoplastic lesions .Thyroid cancers acc...
Histopathological analysis of neoplastic and non neoplastic lesions of ovary: A study of one hundred cases
Background: The study was done to know the various histopathological variants in ovarian lesions, the age incidence of various ovarian lesions and to assess the frequency of unilateral and bilateral lesions. Materials a...
Burden of intestinal parasitic infection in patients attending tertiary care hospital in rural Haryana: A three year retrospective study
Introduction: Intestinal parasitic infections is a serious public health problem in most of the regions of the world, especially in developing countries, and represents a major cause of morbidity and mortality in childre...
Clinicopathological study of Ovarian tumours
Introduction: The ovary consists of sex cells, which are totipotential and of mesenchymal cells which are multipotential.So when it becomes neoplastic almost any type of tumour can result. The ovarian tumours manifest as...